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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 –www.everettwa.org <br />� �� � <br />i lL i <br />PROJECT ADDRESS <br />h1al Atltlmss <br />nant �ame Qf tliis is for a commercial business) <br />Contractnr Ma�l <br />State <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer – New Installation <br />Ci�y <br />�Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />Z� — <br />fl/19/Nii <br />City <br />Slate2�p <br />State2ip <br />Phone <br />,�Z,� � T `' <br />c3��0 <br />Phore <br />i <br />City of Ev ett Business License Number (required) <br />FEE <br />�� D � <br />PERMI7# <br />u I �03� l25 <br />